Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,285.48 / $9,593.60 / $26,675.90	Facility		$3,285.48	$9,593.60	$26,675.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,066.45 / $3,449.75 / $4,380.64	Professional		$3,066.45	$3,449.75	$4,380.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,528.81 / $12,851.46 / $29,027.38	Facility		$3,528.81	$12,851.46	$29,027.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,669.58 / $6,669.58 / $7,990.91	Professional		$6,669.58	$6,669.58	$7,990.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,761.28 / $26,010.05 / $26,010.05	Facility		$8,761.28	$26,010.05	$26,010.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,269.48 / $27,269.48 / $41,068.50	Professional		$27,269.48	$27,269.48	$41,068.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,285.48 / $5,475.80 / $8,158.94	Facility		$3,285.48	$5,475.80	$8,158.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $5,475.80 / $6,844.75	Professional		$5,475.80	$5,475.80	$6,844.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,928.22 / $6,844.75 / $12,320.55	Professional		$4,928.22	$6,844.75	$12,320.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,285.48 / $5,475.80 / $16,542.81	Facility		$3,285.48	$5,475.80	$16,542.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,174.76 / $6,023.38 / $9,582.65	Professional		$5,174.76	$6,023.38	$9,582.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.84 / $2,299.84 / $5,475.80	Professional		$2,299.84	$2,299.84	$5,475.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,702.85 / $1,702.85 / $5,475.80	Professional		$1,702.85	$1,702.85	$5,475.80